2015 ANNUAL REPORT Pan Am Clinic Foundation · 2015 ANNUAL REPORT A COMMUNITY PLAYBOOK 2015 5 AN N...

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2015 ANNUAL REPORT A COMMUNITY PLAYBOOK DEFINING MOTION

Transcript of 2015 ANNUAL REPORT Pan Am Clinic Foundation · 2015 ANNUAL REPORT A COMMUNITY PLAYBOOK 2015 5 AN N...

2015 ANNUAL REPORT

A COMMUNITY PLAYBOOK

DEFINING MOTION

Pan Am Clinic Foundation

75 Poseidon Bay Winnipeg, MB R3M 3E4

T: 204.925.7488 F: 204.927.2775 www.panamclinic.org/foundation

MO•TION\mo-SH( )n\ A MEANINGFUL OR

EXPRESSIVE CHANGE IN THE POSITION OF

THE BODY OR A PART OF THE BODY.

MISSION: The Foundation will raise funds to help attract the people and offer the programs to create and maintain a world-class research, education and health-care organization for Manitoba and beyond.

VISION: We will support the Pan Am Clinic to deliver world-class treatment to its patients.

PAN AM CLINIC FOUNDATIONBOARD OF DIRECTORS CHAIRJames Ferguson

VICE-CHAIRSIda Albo

George Vis

SECRETARY / TREASURERRod Corbett

EXECUTIVE DIRECTORJeff Leiter

DIRECTORSBrock Bulbuck

Wayne Hildahl

Peter MacDonald

Jason Old

Gord Pollard

Jim Richardson

Bob Silver

Jeff Thompson

John Wade

Susan Zirk

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Message from Board Chair: Dynamic – always active or changing; having or showing a lot of energy (Merriam-Webster).

There isn’t another word that more

accurately describes the Pan Am

Clinic Foundation over the last

10 years.

From our board members to our

donors, from our staff to the patients

we serve, your energy is infectious,

your activity is a testament to your

engagement, and your willingness

to embrace change has motivated

the progress and success of this

dynamic organization.

The Pan Am Clinic Foundation is

nearing completion of our recent

three-year strategic plan, and as

evidenced by this year’s annual report,

our commitment to providing world-

class treatment is ongoing. Research,

Education and Community Outreach

continue to flourish and provide a

strong, sustainable foundation for the

vision and growth we have planned

for the next three years.

Please continue to partner with

us and support our commitment

to excellence in the prevention,

diagnosis and treatment of muscle,

bone and joint disease and injury.

Together, we can continue to meet

the needs of the great people of

this city, province and country, and

ensure that we can lead healthy,

active, productive lives.

Sincerely,

James A. FergusonCHAIR

ONE DYNAMIC DECADE

“PLE ASE CONTINUE T O PARTNER WITH US AND SUPPORT OUR COMMITMENT T O E XCELLENCE .”

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Message from the Chief Research and Innovation Officer: This year marks further progress in our research, education and community outreach endeavors.

The new Pan Am Concussion Clinic

at the MTS Iceplex, under the medical

directorship of Dr. Michael Ellis, is

earning recognition not only for

its excellent and timely treatment

of childhood concussion but also

for state-of-the art research. The

goal to be the most prominent

concussion program in Canada is

coming to fruition. Congratulations

to all involved!

Foundation Rehabilitation Services

continues to get busier at the

Pan Am location (with further

development of a second location at

the Iceplex in the future) and its solid

financial picture is going to achieve

a sustainable base for Foundation

funding for years to come. Thanks to

the Foundation board members who

form the business venture committee

of the Pan Am Clinic Foundation

for their hard work and expertise

in this regard.

Publications and presentations

continue to grow each year thanks

to the hard work of the research

staff and Jeff’s leadership. The

multi-centre nature of many of our

randomized clinical trials keeps us

involved and collaborating with

centres across Canada.

The skills centre continues to be

well-used, with several courses being

held this year and visiting professors

such as Dr. Anthony Romeo (Rush,

Chicago), Dr. Peter Lapner (University

of Ottawa), Dr. Randy Mascarenhas

(Baylor University Houston) Dr.

Charles Fisher (University of British

Columbia spine program) and Dr. Don

Johnson (University of Ottawa).

Our grassroots fundraising with the

golf tournament (thanks to Jerry

Acheson and the golf committee) and

the annual dinner featuring honouree

Lyle Bauer (thanks Kelly and to the

dinner committee) are cornerstones

of these efforts. We must also

acknowledge Mr. Paul Albrehctsen

for his extreme generosity and

support of the Albrechtsen Research

Chair (Dr. Jeff Leiter).

Sincere thanks to all who make the

Foundation successful including

donors large and small, as well as

those who work day-to-day to

achieve the goals we all aspire to.

Thank you,

Dr. Peter MacDonaldCHIEF RESEARCH & INNOVATION OFFICER

CALLING THE PLAY

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Message from Executive Director and Albrechtsen Research Chair: In our 2014 Annual Report, the year was summarized by one word: team.

This year, it’s only fitting that we

outline the progress of the Pan Am

Clinic Foundation through our team’s

playbook.

Looking back over the last 10

years, the growth, progression, and

innovative advancement of the Pan

Am Clinic Foundation is somewhat

overwhelming. The risk of rapid

growth is that you don’t take time

along the way to appreciate all

that has been accomplished and

appropriately acknowledge the

partnerships, philanthropy, vision,

individual commitment, resources

and support networks that have

enabled the organization to achieve

this growth. We at the Pan Am Clinic

Foundation certainly do acknowledge

and appreciate all that you have

done to support us over the last

decade and would like to take this

opportunity to sincerely thank you.

Simplification of medical terminology,

clinical care and research can be a

difficult task, and maybe in some

respects, unrealistic. Orthopaedic

sports medicine, musculoskeletal

care, muscle, bone and joint disease,

and exercise

medicine are just

a few terms that

could be used

to describe the

patients we see,

the research we

conduct, and

the services we provide. But, when

it comes down to it, Winnipeggers

and Manitobans somehow know that

if you get injured, you go to Pan Am.

And maybe that’s as simple as it has

to be. The rest is up to us to ensure

you receive world-class treatment for

your injuries. That is our commitment

to you; to continue to provide

you with the best care, through

innovation in research, education and

community outreach.

Please enjoy our annual report and

meet the staff and patients that

motivate us on a daily basis to continue

our journey to the next frontier of

excellence in the treatment of muscle,

bone and joint disease and injury.

We look forward to your continued

support and partnership, and

appreciate and acknowledge all that

you have done for us to date.

Sincerely,

Dr. Jeff LeiterEXECUTIVE DIRECTOR & ALBRECHTSEN RESEARCH CHAIR

CARING MADE SIMPLE

“WINNIPEGGERS AND MANITOBANS KNOW THAT IF YOU GE T INJURED, YOU GO TO PAN AM”

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In March 1985, Pan Am Clinic opened

at its present site at 75 Poseidon Bay.

By 1986, the Poseidon building doubled

its size to 12,000 ft2 followed by a

second expansion in 1993, bringing

the clinic to 20,000 ft2.

In 2001, the facility was converted to

an operating division of the Winnipeg

Regional Health Authority (WRHA).

In 2003, a further expansion was funded

to expand the clinic to 40,000 ft2.

In 2005, an additional 10,000 ft2 was

added. From 2005-2008, Pan Am

Clinic developed and initiated the

Pan Am Clinic Foundation bringing the

clinic to its current size of 72,000 ft2.

In 2014, Pan Am Clinic expanded

services to include The Pan Am

Concussion Program is located at

the MTS Iceplex at 3969 Portage

Avenue, Winnipeg.

Over the course of an average year,

250,000 people from across Manitoba

and Northwestern Ontario are seen

at Pan Am Clinic.

NEXT – 85,000 ft2 building in

partnership with Reh-Fit

Message from Dr. Wayne Hildahl: Our Pan Am Clinic only gets busier.

This comes as no surprise to those

of us in health care. Bone and joint

problems have increased by 45%

from 1990 to 2010, and bone and

joint problems are the second highest

cause of disability globally. This is due

in part to an aging population, but

obesity and inactivity also play a role.

We have outgrown our space. We

need more room to provide the level

of care expected of us. Our current

building is 30 years old, and while

it was a boon in its time, would now

require extensive repairs, renovations

and upgrades to remain competitive

and sustainable.

A new partnership with the Reh-Fit

will allow Pan Am to deliver bone and

joint care supported by innovative

research and education, while

promoting healthy living by keeping

people mobile and active.

A NEW CLINIC HOME ON THE HORIZON

Reh-Fit shares this vision for healthy

living. Indeed, it is a homecoming.

What was to become the Pan Am

clinic started at Reh-Fit in 1979. Now,

two world-class organizations are

coming together. A new Pan Am

Clinic will be built adjacent to the

Reh-Fit Centre on Taylor Avenue at

Waverley Street.

The new 85,000-ft2 building will

provide an additional 20,000 ft2 to

work with… our team will have the

tools and resources they need to

expand and advance the care that

we provide.

We want people to continue to look to

our research, treatments and service as

a model for other facilities in the world.

With your help, we can build the Pan

Am of the Future.

Dr. Wayne HildahlCHIEF OPERATING OFFICER

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The MCEP launched in 2007 and

since its inception, the program has

seen students graduating high school

to continue on to post-secondary

education, many in healthcare -

related fields.

The MCEP is a blend of on-site

training and mentoring at Pan Am

Clinic, Health Sciences Centre, and the

Grace Hospital as well as dedicated

courses to assist the students in their

training to pursue post-secondary

education. Some of these courses

include pre-calculus math, biology,

chemistry, English, and language

studies in either Cree or Ojibway.

The students also learn traditional

Indigenous medicines and ways of

healing. For every year of school

that the MCEP students complete,

they are eligible for a $1,000 bursary

through Bright Futures.

The MCEP is a collaboration of strong

partnerships between the Pan Am

Clinic, the Winnipeg Health Region,

the Winnipeg School Division, and

Children of the Earth High School.

The program could not be possible

without the support of our funders,

all of the staff who work with the

students, and all of the educators.

In 2015, the Medical Careers Exploration Program completed its eighth year with the largest graduating class.

CAREER EXPLORATION THROUGH MCEP

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Testimonial: Dr Richard Hawkins

I have the privilege of knowing – in

fact training – two of the Pan Am

Clinic Foundation players, Dr. Peter

MacDonald and Dr. Greg Stranges.

I am impressed with the mission

and vision of the Foundation and

the success it has achieved in keeping

patients active through research

and education.

Peter and I have always striven

to strike the balance with patient

care, research and education, and

family pursuits. The program and

staffing in place for the Foundation

is truly amazing.

Achieving funding for cancer research

and children’s health problems are

laudable, but solving problems and

answering questions surrounding

musculoskeletal problems is also

paramount. To those of you who have

supported the Foundation, thank

you, and to those of you reading this…

perhaps you might contribute.

We are proud of what you have

accomplished in this short time

and look forward to even more

contributions to help our patients

with concussions, arthritis, and

sports injuries.

We are cheering for all of you and

the Foundation!

Dr. Richard HawkinsSTEADMAN HAWKINS CLINIC OF THE CAROLINAS

THE MAKING OF A GREAT TEAM

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Ida Albo was inducted to the Order of Canada in July 2015 for her outstanding charitable commitment to Winnipeg’s business community.

In addition to being the co-owner of

Yoga Public and the Fort Garry Hotel,

Spa and Conference Centre, Ida is the

Vice-Chair of the Pan Am Clinic

Foundation Board of Directors,

serving as a valuable member since

2005. Ida has dedicated her time and

community outreach to several

charitable organizations, chairing

both the Guardian Angel Benefit

Committee for the CancerCare

Manitoba Foundation and Centre

Venture Development Corporation.

As an active philanthropist, Ida has

been a valuable board member of

the Manning Foundation, Canadian

Tourism Commission, the University

of Winnipeg Foundation and Tourism

Association of Winnipeg.

She holds a Bachelor of Arts

(Honours) in Economics from

The University of Winnipeg and a

Master of Arts in Economics from

Queen’s University.

VICE-CHAIR HONOURED

“I HAVE LOVED BEING A PART OF THE PAN AM CLINIC FOUNDATION FOR THE PAS T 10 YEARS.”

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PATIENT TESTIMONIALCORAL JOHNSON

OVERCOMING CONCUSSION TO HELP OTHERSFAMILY GIVES BACK WITH LOUIS RIEL DAY TOURNAMENT

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“I felt my head snap back. I wasn’t

knocked out. But the lights got a bit

brighter. I didn’t come off the ice. I

didn’t think too much about it,” she

says of the January 2014 event.

It was only later, when her head

began to throb and she started

vomiting that she suspected the

true extent of the injury. After the

incident she went to see Dr. Michael

Ellis, Medical Director for the Pan Am

Concussion Program.

He confirmed Coral had sustained

a concussion, and she followed the

recommended treatment: resting,

taking time off the ice and limiting

screen time with her computer

and cellphone.

“It was a textbook return – she was

back to playing hockey within a

month,” says Coral’s mom, Shannon.

Unfortunately, her first game back in

February 2014 saw her hit again. A

player’s knee made contact with her

head, sending her helmet flying off

across the ice’s surface.

She was pulled from the game

immediately. In the locker room she

turtled her head inside her jersey to

screen out the light... and to hide her

tears. “I just thought, ‘This can’t be

happening again!’” said Coral.

Coral hid her symptoms from her

family as best she could, because

she wanted to keep playing hockey.

Ironically, even in her injured state,

she played some of the best games of

her entire hockey career. The season

ended and she went with her family

to Newfoundland. A family friend

who works with the AHL St. John’s

IceCaps pointed out that Coral’s

headaches during the trip might be

fallout from a second concussion.

They returned to see Dr. Ellis.

“I was always tired. I always had a

headache,” recalls Coral, who spent

hours alone in a darkened room,

hoping for relief. “I felt like I was

missing out on life. I didn’t get to see

friends. I was upset and angry.” She

started medication to help with her

anxiety. Her friends weren’t able to

understand what Coral was going

through. “They would say I was

faking it, or ‘You’re so lucky, you

don’t have to write exams.’” Many

of her friendships didn’t survive.

Her grades declined. Support from

school administration – initially

accommodating – evaporated. She

ended up switching schools and is

excelling at Westgate Mennonite

Collegiate. Her concussion history

means she’s unable to return to play

the game she loves, but Coral has

remained involved as a coach to a

team of 7 and 8-year-olds.

The Pan Am Concussion Program is a multi-disciplinary clinical program

affiliated with Pan Am Clinic, Health Sciences Centre - Children’s Hospital, the

University of Manitoba and the Winnipeg Regional Health Authority. The team

includes experts with training and experience in the management of traumatic

brain injury and concussion, providing care for children with concussion,

while advancing research related to concussions. The program encourages

community partnerships to promote concussion awareness and prevention.

Coral’s concussions didn’t only impact

the quality of her life. Her family also

suffered. “You want to be able to do

things as a family,” says Coral’s dad,

Grant, but it’s impossible when one

member of the family is serving a

prison sentence in a dark bedroom.

“It’s hard to see your child suffering.”

At the time, Shannon admits she

didn’t always realize the depth of

her daughter’s struggle. Her advice?

“Listen to your kids. Learn more about

the effects of concussion. They’re not

exaggerating their symptoms. They

don’t want to feel this way. Advocate

for your family.”

The Johnson family has made it their

mission to help others. When Coral

was a Grade 8 student, she founded

a fundraising Louis Riel Day hockey

tournament at Charleswood’s Roblin

Park Community Centre. Along with

her brother, Zack, and her parents,

Coral, now 17, has raised thousands

in support of the charity Hockey

Fights 4 Kids. This year’s 5th annual

tournament on February 15, 2016, will

see proceeds donated in support of

the Concussion Program. Learn more

about the hockey tournament at

www.hockeyfights4kids.com.

Coral Johnson was doing her job in goal, looking for a puck when two players crashed into her in the crease.

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PATIENT TESTIMONIALCARSON HARTY

RETURNING TO GREAT HEIGHTSSOARING AFTER SHOULDER REPLACEMENT

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When fully recovered, he got back

into a plane – and promptly jumped

out of it.

A passionate skydiver, Carson wasn’t

about to let a shoulder replacement

ground him this time, either. “My body

has a lot of tough hours on it,” says

the 62-year-old, who has completed

more than 1,200 jumps over the years,

mainly at the Gimli Manitoba Drop

Zone and Skydive City (Z HILLS)

in Florida.

His arthritic shoulder had been

hurting for a long time before his

replacement surgery on January 28,

2015. “You try to forget the pain, but

you can’t sleep. You do what you

have to do just to get through the

day.” He endured the pain, even as

he did his best to prepare himself

for surgery, ensuring he was in

peak physical shape through diet

and exercise. Carson says this was

key to a swift recovery. This type of

preparation also helped him return

to work in 12 weeks after he had

completed knee-replacement surgery

by Dr. Victor de Korompay.

Ten weeks after his shoulder

operation, he was skydiving again.

First he had to prove to the staff that

he was strong enough and had the

mobility necessary to reach up over

his head to control the lines on the

parachute. Carson attributes his quick

recovery to the physical and mental

work he did to get in shape before

his surgery, a bowl of oatmeal every

morning, and the skilled hands of his

surgeon, Dr. Greg Stranges. A positive

attitude helps, too.

“There are two kinds of energy:

positive and negative. You have to

choose which one will serve you,” says

Carson. Positive doesn’t always mean

easy, however. In order to regain the

strength he needed for skydiving and

work, he endured painful rehabilitation

under the supervision of his doctor

and the Pan Am staff.

“You have to push to the pain, hold

and relax. You still need to listen to

your body. You can only take it so

far.” He used the same disciplined

approach in his recovery that he used

in his preparation for the procedure.

It wasn’t long after his surgery that he

was back on the job taking on a lead

role in a momentous project for Vale

in Thompson, Manitoba. Together

with the help of Manitoba IBEW 2085

workers under his leadership, they

replaced the skip motors and

electrical drive equipment high

voltage feeds that had been in place

since 1958. The mine produces nickel

used in many medical applications

and was used for the Canada arm on

the Space Shuttle Columbia.

His advice for others? Keep smiling

and remember, “Buddha says he who

fails to laugh at himself is probably

missing a really good joke.”

Carson Harty survived a plane crash more than three and a half decades ago. His body suffered third-degree burns and broken bones, and he spent six months in traction as the first part of his healing process.

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PATIENT TESTIMONIALBEN CHIAROT

NO. 7 GRATEFUL TO BE BACK ON THE ICEWINNIPEG JET HAPPY TO HAVE PAN AM PART OF THE TEAM

Photo Credit Jonathan Kozub/Winnipeg Jets

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His first-ever surgery came the

following day.

“My hand swelled up right away,”

he says of the incident, and he quickly

realized it was more than a minor

injury. He wasn’t able to get back

in the game, one that ended in a

4-3 overtime loss to the Toronto

Maple Leafs.

“It was hard because all my friends

and family were there, watching,”

says Chiarot, who is from Hamilton,

Ontario.

As someone new to Manitoba, he

didn’t have a previous impression

of the Pan Am Clinic. “I knew it was

where the guys (his teammates on

the Winnipeg Jets) went for MRIs

and X-rays,” but that’s where his

knowledge ended – until now.

Dr. Tod Clark, who specializes in hand,

wrist and elbow injuries, performed

the surgery to repair Chiarot’s hand.

“Having surgery was a shock to

me… seeing the incision was a scary

experience,” says Chiarot, along with

the knowledge his bones had been

put back together with plates and

screws. “It’s hard to describe, but

it’s mentally challenging along with

the physical.”

The staff at the clinic took the time to

ease his anxiety by telling him what to

expect throughout his recovery.

“I knew the process; I knew where

I was at and what to do,” he says of

rehabbing the injury.

Now, Chiarot says his hand “feels

good, it’s back to normal, especially

after having the summer to build

strength.” He was able to return to

play the last four games of the season

and playoffs.

“Pan Am took great care of me.”

Just six weeks after his first NHL goal, Winnipeg Jet Ben Chiarot faced an unwelcome new first. He broke the second and third metacarpal on his left hand, the first time the 24-year-old defenceman had ever suffered a break, despite having played the game since the age of three.NO. 7 GRATEFUL TO BE

BACK ON THE ICEWINNIPEG JET HAPPY TO HAVE PAN AM PART OF THE TEAM

“IT ’S HARD T O DESCRIBE , BUT IT ’S MENTALLY CHALLENGING ALONG WITH THE PHYSICAL .”

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PAN AM EXPERIENCE UNMATCHED

Like the Autobahn, there’s no speed limit to learning. Dr. Simon Lenschow applied more than a year ago for a fellowship with Pan Am.

While his application had been

reviewed, there was not a position

available at the time. When he

received an unexpected email from

Dr. Peter MacDonald several months

later asking for a telephone interview

“I could hardly believe that I would

finally get the chance to come to

Winnipeg” he says.

Dr. MacDonald told him the

Orthopaedic Sports Medicine and

Upper Extremity Reconstruction

Fellowship was his, but there was

another wrinkle. Dr. Lenschow and

his wife were about to become first-

time parents. The couple decided to

wait until their baby boy made his

appearance before making the move

to Canada.

Dr. Lenschow is grateful for the

accommodations Pan Am made for

his young family. His new colleagues

helped arrange the family’s living

accommodations, right down to what

colour paint they wanted for the

baby’s room in their rented condo.

The fellowship offers hands-

on experience at a pace that is

unmatched in Germany, says Dr.

Lenschow. He was invited to scrub

in with Dr. Dubberley within days

of his arrival in Winnipeg. While

the operation was underway, he

was asked if he wanted to take

over the knife. “I thought, ‘he’s

joking!’” Something like that would

never happen back home, says Dr.

Lenschow. While he arrived with

a wealth of experience in trauma

surgery from his previous work in

Germany, the style of instruction at

Pan Am builds confidence.

“It would have taken years to be able

to do on my own what I’ve been

doing here,” says Dr. Lenschow, as

similar sports medicine fellowships

are rare throughout Europe. “I had

high expectations from everything

I’d been told (about Pan Am), but this

has topped them by 200%.”

He enjoys the working relationship

with his colleagues. “There’s an open

exchange of ideas.” There are always

different ways to do things. Learning

is a bit like driving, says Dr. Lenschow.

“You might be driving a new car, but

you know the technique.”

While he had traveled to Canada

before, he and his family are looking

forward to a white Christmas here in

Winnipeg, and continuing to take in

recreational offerings including the

Bombers and Jets games. Winters at

home in Muenster, Germany, are wet

and slushy compared with the crisp

season he anticipates here. Besides,

when it’s cold outside, “the best place

to be is the OR,” he says.

DR. SIMON LENSCHOWFROM: MUENSTER, GERMANY

EDUCATION: UNIVERSITY OF KIEL, GERMANY MD

TITLE: ORTHOPAEDIC SPORTS MEDICINE AND UPPER EXTREMITY RECONSTRUCTION FELLOWSHIP

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SPORTS AND BEYOND

Dr. Anene Cheung looks beyond the sports in sports medicine.

The sports medicine fellow says

everything she’s learned by working

at Pan Am will serve her well in a

family medicine practice, too.

The University of Manitoba

Primary Care Sport & Exercise

Medicine Fellowship program is a

comprehensive training opportunity

in sport and musculoskeletal

medicine for the postgraduate family

medicine resident or practicing family

physician. No longer exclusively

concerned with the care of athletes,

it encompasses disciplines such as

exercise physiology, women’s health,

health promotion and prevention

issues, nutrition, and psychology

and more.

One of the richest lessons for her

has been the idea that “there’s no

one right way to do something,”

says Dr. Cheung, but rather there

are a number of “right” approaches.

Working with her supervising

physicians has helped her to become

more independent and confident in

treating patients. Fellows at Pan Am

quickly move from observation to

leading patient care.

Exposure to the volume of

musculoskeletal cases encountered

at Pan Am is an advantage. Over

time, you are able to put all the pieces

together for a better understanding

of joint function, says Cheung. “You

see the natural way things heal

over time. We’re used to quick

fixes. But you also have to manage

expectations.”

It’s something she sees across a wide

range of patients, from someone

looking forward to resuming their

work and lifestyle activities, to high

performance athletes who want to be

back in the game.

Doctors in the fellowship program

at Pan Am are able to work with

professional and amateur sports

teams, including the Winnipeg Jets,

the Blue Bombers, the University of

Manitoba Bison football team and

athletes from a number of other

sports. Dr. Cheung said it’s interesting

to see what athletes are able to

accomplish with their drive and

motivation to get back to the way

they were pre-injury.

Dr. Cheung recommends the

fellowship to other physicians. “I

would give them the same advice I

received: If you’re thinking about it,

just do it. You’re exposed to so much

in this learning environment.”

DR. ANENE CHEUNGFROM: WINNIPEG, MANITOBA

EDUCATION: UNIVERSITY OF MANITOBA MD, BSC MED, CCFP

TITLE: PRIMARY CARE SPORT & EXERCISE MEDICINE FELLOWSHIP

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THE BEST LEARNING ENVIRONMENT

Dr. Lindsey MacDonald first heard of the Pan Am Clinic Fellowship Program when she was completing an orthopaedics elective as a medical student.

“I knew I wanted a career that

involved musculoskeletal pathology,

but I wasn’t sure if I wanted to

be a surgeon. I ended up doing a

residency in family medicine and

I noticed from Day 1 that I had an

affinity for sports medicine.”

She describes the training from the

primary care sports medicine doctors

as exceptional, but the day-to-day

work has brought an appreciation

for what a well-run clinic the Pan Am

is. Patients can present with more

acute injuries to the Minor Injury

Clinic, while more chronic injuries

and follow-ups can be seen in the

Sports Medicine clinic, and diagnostic

imaging can be done during most

clinic appointments. “We also work

in collaboration with orthopaedic

surgeons, as well as a few plastic

surgeons, and I have learned a ton

from daily input. It really is a one-

stop-shop.

“I believe it truly has provided me

with the best learning environment

possible.”

The Pan Am Clinic is unique in that

the fellowship staff gets to help out

with professional, as well as amateur

sports coverage.

The staff and medical professionals

at Pan Am are excellent educators,

says Dr. MacDonald. Not only do

they teach throughout clinic, but

they also take the time to teach

after hours, including during many

sporting events, both amateur

and professional.

She recommends anyone who is

contemplating a fellowship complete

an elective at Pan Am. “My elective

as a second year family medicine

resident was what really made

me realize I was set on pursuing

a career in sports medicine. The

staff is extremely welcoming and

knowledgeable and made me feel

as though I was going to have a

wonderful educational experience if I

were to complete the fellowship.”

Dr. MacDonald hopes to remain on as

a staff member after completing her

fellowship. “I will feel well prepared

for a position in sports medicine once

I have completed my training. The

high volume of patients and the wide

variety of pathologies I see on a day-

to-day basis have really helped me

feel more confident in myself.

“The fellowship program has been the

best year of my medical training!”

DR. LINDSEY MACDONALDFROM: WINNIPEG, MANITOBA

EDUCATION: UNIVERSITY OF MANITOBA MD, BSC MED, CCFP

TITLE: PRIMARY CARE SPORT & EXERCISE MEDICINE FELLOWSHIP

18

HAPPY TO CALL PAN AM HOME

Dr. Jonathan Marsh has travelled the world to master the shoulder, elbow and wrist surgical procedures that are his specialty.

While enriching, his journeys

ultimately served to demonstrate

how rewarding it can be to work

right here at home.

Dr. Marsh found references to his

hometown clinic would come up

during his orthopedic fellowships in

Auckland, New Zealand and London,

Ontario. “They would say, ‘How would

they do this at Pan Am Clinic?’ We

have a research powerhouse here.

Pan Am has changed the way the

world does things.”

One of the things that make Pan

Am stand out is the accessibility

of comprehensive care available.

Patients can arrive without being

referred by another physician, and

receive care from X-rays, to MRIs,

surgery and physiotherapy all in

one place.

“Patients are receiving high quality

care at a fast pace.”

It is also an accessible place for

students, residents and even high

school students who have been able

to observe surgical procedures.

“You never forget your first operation,”

says Dr. Marsh.

The team environment is something

Dr. Marsh says he hasn’t found

elsewhere. “We truly are friends.

Everyone is treated as equals. It’s

all about collaboration. Honestly,

we have the best group of people

anywhere. “

Sports teams appreciate the team

they have behind them, says Dr.

Marsh. The reputation of the clinic

has also drawn from the world

beyond sports, to the performing

arts. The acrobats from the recent

run of Cavalia’s Odysseo received

treatment at the clinic.

“Professional teams want their players

treated here.” Maintaining the

reputation of the clinic and the high

level of care offered does come into

mind for Dr. Marsh, as a motivator

to always do his best. “Operating is

literally ‘another day at work’ – but it

never gets old. It’s a privilege to do

what we do.”

DR. JONATHAN MARSHFROM: WINNIPEG, MANITOBA

EDUCATION: UNIVERSITY OF MANITOBA BSC MED, MD, FRCS(C) WESTERN UNIVERSITY, LONDON, ONTARIO - ROTH MCFARLANE HAND & UPPER LIMB SURGERY FELLOWSHIP, NORTH SHORE HOSPITAL, AUCKLAND, NEW ZEALAND - SHOULDER & ELBOW SURGERY FELLOWSHIP

TITLE: ORTHOPAEDIC SURGEON -ASSISTANT PROFESSOR, DEPARTMENT OF SURGERY, FACULTY OF MEDICINE, UNIVERSITY OF MANITOBA

19

SPECIAL TEAMS

Dr. Peter MacDonaldAREA OF SPECIALTYShoulder, Knee, Sports Injuries

and Arthroscopy

Dr. Heather BarskeAREA OF SPECIALTYFoot and Ankle Surgery

Dr. Allan HammondAREA OF SPECIALTYTrauma, Foot and Ankle, Complex

Knee Ligament Surgery

Dr. Jamie DubberleyAREA OF SPECIALTYUpper Extremity Trauma,

Reconstruction

and Arthroscopy

Dr. Randa BerduscoAREA OF SPECIALTYKnee, Shoulder, Sports Injuries

and Arthroscopy

20

Dr. Greg StrangesAREA OF SPECIALTYSports Medicine, Arthroscopy,

Knee and Shoulder Surgery

Dr. Jason OldAREA OF SPECIALTYArthroscopic Shoulder and

Elbow Surgery, Shoulder

Replacement Surgery

Dr. Tod ClarkAREA OF SPECIALTYHand, Wrist and Elbow and

Peripheral Nerve Surgery

Dr. Michael EllisAREA OF SPECIALTYClinical epidemiology and

management of pediatric

sports-related concussion

Dr. Jonathan P MarshAREA OF SPECIALTYShoulder, Elbow and Wrist Surgery

21

On Tuesday, June 2, the Pan Am

Clinic Foundation hosted the third

annual Diamond In the Rough Golf

Tournament at Glendale Golf and

Country Club. The 162 golfers played

on a cloudy, overcast day to support

the Pan Am Clinic Foundation. Thank

you to these intrepid supporters.

Golfers received a custom-tailored

suit by EPH Apparel and the

opportunity to bid on some exclusive

prize packages.

For such a young and uncommon

nine-hole tournament, we are

overwhelmed by the response and

commitment from the returning and

new golfers. Everyone really enjoys

the golfing, the camaraderie, and the

great food and prizes.

Funds raised through this event

support the Pan Am Clinic

Foundation Concussion Research

Program at the MTS Iceplex. This

program enables sport scientists to

undertake research to improve the

sideline assessment and management

of sports concussion.

This program can play a pivotal role in

determining how and when to return

players to sport safely and effectively

following a head injury.

The Pan Am Clinic Foundation along

with the organizing committee

would like to thank all those who

participated, offered sponsorship

support and provided fabulous prizes

that helped make Diamond In The

Rough a continued success. We are

looking forward to another great

tournament in 2016!

DIAMOND IN THE ROUGH

Thank you to the following Sponsors:Diamond Athletic Medical Supplies Inc.

MTS

IBAM Insurance Brokers Association

of Manitoba

Boyd Autobody and Glass

Brean Marketing Inc.

David & Ruth Asper

Elkhorn Resort Spa & Conference Centre

EPH Apparel

Foundation Rehabilitation Services Inc.

Greg Klassen - National Bank Financial

Labatt Breweries of Canada

Manitoba Athletic Therapists Association

Manitoba Liquor and Lotteries

Montrose Winnipeg

Greg Klassen

Ontime Group

Pasquale’s

Pinnacle

Progressive Waste Solutions

RONA

Sailor Jerry Spiced Rum

Santa Lucia Pizza

TSN Radio 1290

Vickar Community Chevrolet

Wellington College

Winnipeg Sport and Leisure

Winpark Dorchester Properties

22

The Pan Am Clinic Foundation

celebrated the 10th Annual Fire & Ice

Gala Fundraising Dinner on March 13,

2015 at the Fort Garry Hotel, Spa

and Conference Centre. The dinner

is one of the primary fundraisers for

the Foundation.

The Foundation celebrated sport

excellence and commitment to the

community. We honoured Lyle Bauer,

former President and CEO of the

Winnipeg Blue Bombers, a three

time Grey Cup Champion, 1998

Winnipeg Blue Bomber Hall of Fame

inductee and co-chair of the Never

Alone Foundation.

John Sauder from CBC Manitoba

was the emcee for the evening

and mentioned how he has been

in attendance for all 10 of the Fire

& Ice events. Dr. Peter MacDonald

paid tribute to the late Dr. Warren

Froese, followed by Sandy Froese

saying grace. CJOB sportscaster and

2014 Fire & Ice honouree Bob Irving

conducted a one-one interview with

Bauer. Bob made sure to joke about

the “mullet” that Lyle had back in

1981, and then led into a more serious

conversation of Lyle’s diagnosis of

Stage 4 throat cancer in 2004, a

journey that inspired the creation

of the Never Alone Foundation in

support of those affected by cancer.

Guests were treated to a gourmet

meal prepared by the Fort Garry

Hotel, Spa and Conference Centre

and enjoyed musical entertainment

by Grant Leutschaft.

Thank you to all who made the

evening a tremendous success

by supporting the Pan Am Clinic

Foundation and joining us in paying

tribute to a truly deserving individual.

Thank you to the following Sponsors:

Diamond Athletic Medical Supplies Inc.

Mercedes-Benz Winnipeg

The Fort Garry Hotel, Spa and

Conference Centre

Radiology Consultants of Winnipeg

Medical Corporation

Manitoba Public Insurance

TSN Radio 1290

Winnipeg Free Press

Simon Imports

ADESA Auctions

John Wade Ice Sculptures

Banville and Jones Wine Co.

FIRE AND ICE GALA 2015

23

Chahal J, Whelan DB, Jaglal SB, Smith

P, MacDonald PB, Levy BA, Davis AM.

The multiligament quality of life questionnaire: Development and evaluation of test re-test reliability and validity in patients with multiligament knee injuries. Am J

Sports Med 2014, 42: 2906-16.

Ellis MJ, Cordingley D, Vis S, Reimer K,

Leiter J, Russell K. Vestibulo-ocular dysfunction in pediatric sports-related concussion. J Neurosurg

Pediatr 2015, 16: 241-7.

Ellis MJ, Cordingley DM, Morissette

MP, MacDonald PB, Leiter JR.

Retrospective review of baseline Sport Concussion Assessment Tool – 3 scores in elite adolescent hockey players during a preseason physiological testing. Curr Res:

Concussion 2014, 1: 15-18.

Ellis MJ, Figley C, Mutch WA,

Mikulis D, Massicotte E, Tator CH.

Neuro-imaging in sports-related concussion management: Current status and future directions. Curr

Res Concussion 2014, 1: 33-39.

Ellis MJ, Leddy JJ, Willer B.

Physiological, vestibulo-ocular and cervicogenic post-concussion disorders: An evidence-based classification system with directions for treatment. Brain Inj 2015, 29:

238-48.

Ellis MJ, Leiter J, Hall T, McDonald PJ,

Sawyer S, Silver N, Bunge M, Essig M.

Neuro-imaging in pediatric sports-related concussion. J Neurosurg

Pediatr 2015, 16: 248-55.

Ellis MJ, McDonald PJ. Coexistent sports-related concussion and cervical SCIWORA in an adolescent: a case report. Curr Sports Med Rep

2015, 14: 20-2.

Ellis MJ, Ritchie LJ, Koltek M, Hosain S,

Cordingley D, Chu S, Selci E, Leiter J,

Russell K. Psychiatric outcomes after pediatric sports-related concussion. J Neurosurg Pediatr 2015, epub.

Ellis M, Wennberg R. Convulsions in a 17 year old-boy after a head injury sustained while playing hockey. Can

Med Assoc J, 2015, epub.

Gella S, Whelan DB, Stannard JP,

MacDonald PB. Acute management and surgical timing of the multiligament-injured knee. Instr

Course Lect 2015, 64:521.30.

Gigliotti D, Leiter JR, Macek B,

Davidson MJ, MacDonald PB,

Anderson JE. Atrophy, inducible satellite cell activation, and possible denervation of supraspinatus muscle in injured human rotator-cuff muscle. Am J Physio Cell Physiol

2015, 309: C383-91.

Jordan RW, Saithna A, Old J,

MacDonald P. Does external rotation bracing for anterior shoulder dislocation actually result in reduction of the labrum? A systematic review. Am J Sports

Med 2015, 43: 2328-33.

Leiter JR, Levy BA, Stannard JP,

Fanelli GC. Whelan DB, Marx RG,

Stuart MJ, Boyd JL, MacDonald

PB. Accuracy and reliability of determining the isometric point of the knee for multiligament knee reconstruction. Knee Surg Sports

Traumatol Arthrosc 2014, 22: 2187-93.

Longstaffe R, Slade Shantz J, Leiter

J, Peeler P. Surgeon-Therapist communication: Do all members see eye-to-eye? Phys Sportsmed

2015, Aug (epub).

MacDonald P, Vo A. Complications of posterolateral corner injuries of the knee and how to avoid them. Sports

Med Arthrosc 2015, 23: 51-4.

Martin K, Berducso R, MacDonald P.

Physical examination and imaging studies in posterolateral corner injuries. J Knee Surg 2015, Sept

(epub).

PUBLICATIONS

24

Martin RK, Gillis D, Leiter J, Shantz

JS, MacDonald P. A porcine knee model is valid for use in the evaluation of arthroscopic skills: A pilot study. Clin Orthop Relat Res

2015, Aug (epub).

Mascarenhas R, Raleigh E, McRae

S, Leiter J, Saltzman B, MacDonald

PB. Iliac crest allograft glenoid reconstruction for recurrent anterior shoulder instability in athletes: Surgical technique and results. Int J Should Surg 2014, 8: 127-32.

Mascarenhas R, Rusen J, Saltzman

BM, Leiter J, Chahal J, Romeo AA,

MacDonald P. Management of humeral and glenoid bone loss in recurrent glenohumeral instability. Adv Orthop 2014, Jul (epub).

McRae S, Leiter J, Subramanian

K, Litchfield R, MacDonald P.

Randomized controlled trial of arthroscopic electrothermal capsulorrhaphy with Bankart repair and isolated arthroscopic Bankart repair. Knee Surg Sports Traumatol

Arthrosc 2015, Feb (epub).

Mohtadi NG, Kirkley A, Hollinshead

RM, McCormack R, MacDonald PB,

Chan DS, Sasyniuk TM, Fick GH,

Paolucci EO. Joint Orthopaedic Initiative for National Trials of the Shoulder-Canada. J Should Elb Surg

2014, 23: 1171-80.

Morissette MP, Cordingley D, Ellis

MJ, MacDonald PB, Leiter JR. The effect of maximal aerobic capacity fitness testing on Sport Concussion Assessment Tool – 3 scores in healthy adult subjects. Curr Res:

Concussion 2014, 1: 19-21.

Mutch WA, Ellis MJ, Graham MR,

Wourms V, Raban R, Fisher JA,

Mikulis D, Leiter J, Ryner L. Brain MRI CO2 stress testing: A pilot study in patients with concussion. PLoS One,

2014, 9: e102181.

Peeler J, Christian M, Cooper J, Leiter

J, MacDonald P. Managing knee osteoarthritis: The effects of body weight supported physical activity in joint pain function, and thigh muscle strength. Clin J Sport Med

2015, Jan (epub).

Simon D, Mascarenhas R, Saltzman

BM, Rollins M, Bach BR JR,

MacDonald P. The relationship between anterior cruciate ligament injury and osteoarthritis of the knee. Adv Orthop 2015, Apr (epub).

Whelan D, Leiter J, Sasyniuk T,

Litchfield R, Randle J, Hughes S,

MacDonald P. Double row repair of the distal attachment of the superficial medial collateral ligament: a basic science pilot study. Knee Surg Sports Traumatol Arthrosc

2015, 23: 2820-4.

25

David & Ruth Asper

The Paul Albrechtsen Foundation Inc

ConMed Linvatec Canada

The Pollard Family Foundation

Oliver and Gennie Plett

James & Leney Richardson

Gail Asper & Michael Paterson

Moskal Family

Qualico Developments (Winnipeg) Ltd – Brian & Ruth Hastings

The Winnipeg Foundation

Institute of Sports Medicine Co-Venture

Dr. Brian Lukie & Hannia Tarasiuk

Dr. Darin Banmann & Rachel Suarez-Banmann

Dr. Greg & Sandra Storoschuk

Dr. Hein & Linda Peters

Dr. James Langridge & Evelyn Lightly

Dr. Peter & Mary Nemeth

Dr. Robert & Anastasia Glacken

Dr. Swee Teo & Renee Bertrand-Teo

University Medical Group

Anonymous

Diamond Athletic Medical Supplies

Dr. Peter & Sherry MacDonald

Ruth M. Asper

The Wawanesa Mutual Insurance Company

Dr. Wayne & Rita Hildahl

Burns Family Fund – The Winnipeg Foundation

Pfizer Canada Inc

Genzyme Canada Inc

Birchwood Auto Group Partnership

Ferring Pharmaceuticals

Henry & Elisabeth Vis

Purdue Pharma

Siobhan Richardson Foundation Inc

University of Manitoba – Alexander Gibson Fund

Paul Desmarais Jr.

Daniel Talman

Forum Construction

William Parrish

Dr. Scott Wolfe

Dr. Ryan Amadeo

Brian Duncan

Bison Transport

Winnipeg Building and Decorating Ltd.

DJO, LLC

David Hill

Gendis Inc.

Price Industries Limited

Frantic Films

James & Marilyn Ferguson

Rod & Kathy Corbett

Smith & Nephew Inc

Tina Jones

Michael Banville

Pan Am Clinic Staff

Dr. Warren & Sandy Froese

Mildred Lucky

Ossur Canada Inc

Sports Physiotherapy Centre

McLaughlin Family

Gary & Gwen Steiman

Ida Albo & Richard Bel

Dr. Jeff Leiter

Dr. R Cole Beavis

Ossur Americas Inc

Gregg & Mary Hanson

University of Manitoba

Biovail Pharmaceuticals Canada

George and Minnie Friesen

LifeMark Health Management Inc

Dr. Victor de Korompay

Harold & Dee Buchwald

Mark & Zeta Bernstein

Arnold Frieman

Dr. Les Allen

The Great West Life Assurance Company

Hartley & Heather Richardson

Neil Almdal

Bruce MacNeill

Centric Health Corporation

Tribe Medical Group

Charlie & Dayna Spiring

Jim Krovats

Brock & Sophie Bulbuck

Arthex Inc.

Ken McCrea

Gene Dunn

Mark Tooley

PAN AM CLINIC DONORS

26

ALE X ANDER GIBSON FUND - UNIVERSIT Y OF MANITOBA

$17,500 The relationship between injury to

surgery (I-S) time and the incidence

of secondary joint injury in an ACL

injured population.

$10,000 Long term follow-up of arthroscopic

rotator cuff repair with and without

arthroscopic acromioplasty in the

treatment of full thickness rotator

cuff tears.

WINNIPEG JE TS TRUE NORTH FOUNDATION

$125,000 Sports related concussions.

EDUCATION & COMMUNITY OUTREACH GRANTSAPRIL 1 , 2014 – MARCH 31 , 2015

RESEARCH GRANTSAPRIL 1 , 2014 – MARCH 31 , 2015

ORTHOPAEDIC FELLOWSHIP ANNUAL MEE TING

Tribe Medical Group

Conmed Linvatec Canada.

PRIMARY CARE SPORTS & E XERCISE MEDICINE FELLOWSHIP

Institute of Sports Medicine

Co-Venture

Ossur Canada Inc

RESIDENT RESE ARCH DAY

Bioventus

MEDICAL CAREERS E XPLOR ATION PROGR AM

Manitoba Children & Youth

Opportunities

The Winnipeg Foundation

Thomas Sill Foundation

Anonymous

ORTHOPAEDIC SPORTS MEDICINE AND UPPER E X TREMIT Y RECONS TRUC TION FELLOWSHIP

Sanofi Canada

Ossur Canada Inc.

27

PAN AM CLINIC FOUNDATION INC.

SUMMARY STATEMENT OF FINANCIAL POSITION YEARS ENDED MARCH 31

2015 ($) 2014 ($)Revenues

Contributions recognized in this year 633,923 684,896

Contributions- Medical Careers Exploration Program 139,312 141,603

Fundraising 321,849 221,701

Investments 49,498 33,136

Earnings/Loss from investment in Foundation

Rehabilitation Services Inc. 94,212 (90,372)

Other revenue 38,826 63,098

1,277,622 1,054,062

Expenses

Acknowledgments, gifts and donations 34,349 34,463

Advertising and promotion 4,226 12,291

Amortization 95,048 109,097

Bank charges and interest 2,823 2,901

Continuing education and development 16,223 21,781

Fundraising gala 78,623 60,946

Fundraising general 80,234 45,188

Insurance 18,248 5,370

Medical Careers Exploration Program 139,312 141,603

Professional fees 54,316 18,031

Rent 4,920 14,350

Repairs and maintenance 4,738 15,449

Research 3,589 6,541

Salaries and benefits 536,250 527,177

Supplies and equipment 108,157 88,794

Travel 46,094 21,668

1,227,150 1,125,650

Increase (decreases) in net assets 50,472 (71,588)

Net assets at beginning of year 212,232 279,141

Unrealized gains on available for sale investments 720 4,679

Net assets at end of year 263,424 212,232

Deferred contributions

Contributions 735,096 542,212

Transfer of revenues for activities 696,314 740,670

Increase in deferred contributions 38,782 (198,458)

Balance at beginning of year 2,403,593 2,602,051

Balance at end of year 2,442,375 2,403,593

28

2015 ($) 2014 ($)Assets

Cash 1,375,553 1,191,012

Accounts receivable 173,621 38,326

Prepaid expenses 23,621 19,470

Current portion of loan receivable from Foundation

Rehabilitation Services Inc. 76,000 -

Capital Assets 623,219 731,762

Long term Investments 208,384 323,233

Loan receivable from Foundation Rehabilitation Service Inc. 301,077 498,522

Investment (Deficit) In Foundation Rehabilitation Service Inc. 3,850 (90,362)

2,784,826 2,693,963

Liabilities and net assets

Accounts payable 79,027 78,138

Deferred contributions 2,442,375 2,403,593

Net assets 263,424 212,232

2,784,826 2,693,963

29

STAFF DIRECTORYEXECUTIVE DIRECTOR and ALBRECHTSEN RESEARCH CHAIR Dr. Jeff Leiter 204.927.2665

[email protected]

RESEARCH ASSISTANT Alison Longo

204.925.1558

[email protected]

EXECUTIVE ASSISTANT Dana Peteleski 204.232.5385

[email protected]

RESEARCH ASSISTANT Travis Hrubeniuk

204.925.1558

[email protected]

RESEARCH ASSOCIATE Sheila McRae

204.925.7469

[email protected]

RESEARCH ASSISTANT Marc Morissette

204.925.1558

[email protected]

RESEARCH ASSISTANT Sarah Flett 204.927.2828

[email protected]

PROJECT ASSISTANT – Medical Careers Exploration Program Janell Melenchuk

204.232.9777

[email protected]

30

PAN AM CLINIC FOUNDATION – DAVID AND RUTH ASPER RESEARCH CENTRE

75 Poseidon Bay

Winnipeg, MB

R3M 3E4

T: 204.925.7488

F: 204.927.2775

www.panamclinic.org/foundation

BUSINESS MANAGER Elaine Dominque

204-805-1912

[email protected]

RESEARCH ASSISTANT Celeste Ferguson

204.391.8688

[email protected]

FUNDRAISING COORDINATOR Kelly McMullan

204.232.8271

[email protected]

EXERCISE PHYSIOLOGIST Dean Cordingley

204.926.5858

[email protected]

ADMINISTRATIVE ASSISTANT Rose Palican

204.925.7488

[email protected]

RESEARCH ASSISTANT / ATHLETIC THERAPIST Richard Giradin

204.926.5856

[email protected]

31

How to donate

The services offered and the innovative approaches to health care at the Pan Am Clinic

have helped to establish our organization as a community and national leader in health care.

Your financial support for education, research and community outreach initiatives will

assist in advancing the treatment of muscle, bone and joint conditions and ultimately

play a key role in helping people live healthy, active lives.

If you would like to make a donation to the Pan Am Clinic Foundation, please contact us

at 204.925.7488. Visit www.panamclinic.org/donate or use your smartphone and the QR

code below if you would like to make a donation online.

32

2015 ANNUAL REPORT

A COMMUNITY PLAYBOOK

DEFINING MOTION

Pan Am Clinic Foundation

75 Poseidon Bay Winnipeg, MB R3M 3E4

T: 204.925.7488 F: 204.927.2775 www.panamclinic.org/foundation